Provider Demographics
NPI:1437262789
Name:FELBER, SUSAN KAYE (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KAYE
Last Name:FELBER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7503 196TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5079
Mailing Address - Country:US
Mailing Address - Phone:425-775-8000
Mailing Address - Fax:425-775-8221
Practice Address - Street 1:7503 196TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5079
Practice Address - Country:US
Practice Address - Phone:425-775-8000
Practice Address - Fax:425-775-8221
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT89044Medicare UPIN